- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58,120.40 / $58,120.40 / $68,884.10
| Facility | | $58,120.40 | $58,120.40 | $68,884.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,691.00 / $66,944.66 / $102,051.71
| Facility | | $7,691.00 | $66,944.66 | $102,051.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7,894.83 / $10,667.12 / $51,610.91
| Facility | | $7,894.83 | $10,667.12 | $51,610.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42,529.01 / $68,237.89 / $111,695.61
| Facility | | $42,529.01 | $68,237.89 | $111,695.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6,683.67 / $6,683.67 / $6,683.67
| Facility | | $6,683.67 | $6,683.67 | $6,683.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $629.91 / $39,630.01 / $56,711.16
| Facility | | $629.91 | $39,630.01 | $56,711.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48,395.93 / $67,416.14 / $79,230.88
| Facility | | $48,395.93 | $67,416.14 | $79,230.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43,677.31 / $71,909.17 / $90,647.36
| Facility | | $43,677.31 | $71,909.17 | $90,647.36 |